Tlaxcala, Mexico has achieved a significant reduction in adolescent pregnancies, decreasing cases by 30% from a historical average of 100 annually to 63, according to recent reports. This success is attributed to a comprehensive, multi-faceted strategy implemented by the State Group for the Prevention of Pregnancy in Adolescents (GEPEA).
The shift towards this successful model began in 2017, following a national agreement by the National Population Council (CONAPO) to prioritize the prevention of child pregnancy. Initially, state and municipal groups were formed to address the issue. However, progress was limited, prompting Tlaxcala to reassess and rebuild its approach.
Belén Vega Ahuatzi, head of the State Population Council (COESPO), explained that the redesigned strategy centers around three core pillars: prevention, promoting a culture of reporting, and providing timely attention and follow-up care for affected individuals. This comprehensive plan, detailed during recent Circular Dialogues, has demonstrably improved outcomes.
Specifically, the Specific Fertility Ratio (REF) in girls aged 10 to 14 years has decreased from 1.4 to 1.0, representing a 32.2% reduction compared to the national average. The proportion of total pregnancies occurring in adolescents has slightly decreased, moving from 16.3% to 15.9%.
The success isn’t limited to younger adolescents. Data indicates a sustained downward trend in fertility rates among those aged 15 to 19, with births per thousand women decreasing from 4,701 in 2018 to 2,429 in 2025, according to preliminary health sector figures.
A crucial element of Tlaxcala’s strategy has been a deeper understanding of the root causes of adolescent pregnancy. Analysis revealed that the vast majority of these pregnancies are the result of rape or sexual abuse, with approximately 90% occurring within family environments. This finding led to the development of age-appropriate educational materials and interventions targeting girls, boys, and adolescents, as well as their parents and educators.
These educational programs focus on body awareness, recognizing risk signs, and understanding sexual abuse and prevention methods. Implementation began in primary and secondary schools in 2025, extending to include parental involvement as part of a broader educational initiative.
Beyond prevention, Tlaxcala has established an inter-institutional platform coordinated by the Women’s Secretariat, in partnership with the Health Secretariat. This platform ensures rapid alerts are issued upon identification of a case, guaranteeing immediate medical care, legal support, and comprehensive follow-up services.
Strengthening institutional capacity has also been a priority. The Executive Secretary of the System for the Comprehensive Protection of Girls, Boys and Adolescents (SIPINNA) reported a significant increase in trained municipal public servants, from just five in previous administrations to 554 in 2025. These individuals now possess specialized training in the prevention, care, and eradication of child pregnancy.
To further encourage reporting, public awareness campaigns utilizing radio and television spots have been launched, aiming to empower victims and their families to come forward, even in cases of familial abuse.
The effectiveness of Tlaxcala’s model has garnered national recognition. The National Strategy for the Prevention of Pregnancy in Adolescents (ENAPEA) has identified it as a successful experience worthy of replication in at least five other states, including Puebla, Nayarit, and Tamaulipas.
Tlaxcala is now entering a second phase of its action plan, focusing on strengthening the care, reporting, and monitoring components. This includes the implementation of a Rights Restitution Plan, providing comprehensive support to adolescent mothers and their children. This support encompasses pregnancy monitoring, medical care, legal assistance through collaboration with the Office of the Protection of Girls, Boys and Adolescents and the Prosecutor’s Office, and ongoing monitoring of newborns during their first thousand days of life.
The ultimate goal of this expanded approach is to break the cycle of violence, reduce poverty, and ensure the full exercise of children’s rights. By addressing the complex interplay of factors contributing to adolescent pregnancy, Tlaxcala is demonstrating a commitment to protecting its most vulnerable population and building a healthier future.
